Hamden Regional Youth Basketball League Donation Form

Please provide the following  information:

Your Full Name
Day Phone
Evening Phone
Street Address
Address (cont.)
City	Hamden North Haven New Haven Wallingford Cheshire Meriden Bethany Woodbridge Branford North Branford East Haven West Haven Other
State/Province
Zip/Postal Code
E-mail

I Would like to donate the following items:

Basketball $20.00 
1st Aid Kit $15.00
3 Point Shot Tape $25.00
Rental of one Practice Gym for one day week $250.00
Gym Rental for Greg Johnson Player Recognition Day $750.00